| NPI | 1043591902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 82982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL38492) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2019-10-08 |